Swanson Pool Lifeguard Application 2019
The information provided in this form will be kept confidential.
Email address *
First Name
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Street Address
Your answer
City
Your answer
Zip Code
Your answer
Cell Phone *
Your answer
Home Phone (if applicable)
Your answer
Eligibility
Certifications - Check all that apply *
Required
Lifeguard Certification and Expiration date
For example: Red Cross - Expires 5/2019 -- Guards will be required to provide a copy of the certification.
Your answer
Any other relevant Specialized Training/Class
Your answer
Are you eligible to work anytime? If no, what are your restrictions?
Your answer
Are you at least 16 years old and if you are under age 18, do you have your parents' permission to work?
Do you have a driver's license?
Education
Name and Address of High School & Dates attended
Your answer
Name and Address of any other school(s) attended. Include dates.
Your answer
Co/Extra-Curricular Activities -- Please list all activities that you participate in outside of school.
Your answer
Leadership -- Please list any leadership roles you have held in the last two years.
Your answer
Employment Record
Please list chronologically, starting with current or most recent employer.
Name & Address of most recent Employer
Your answer
Start Date of most recent Employer
MM
/
DD
/
YYYY
End Date of most recent Employer
MM
/
DD
/
YYYY
Name & Address of second most recent Employer
Your answer
Start Date of second most recent Employer
Your answer
End Date of second most recent Employer
Your answer
References
Please provide two references.
Reference 1
Provide their Name, Position or Job Title, Work Relationship, Telephone Number, E-mail address
Your answer
Reference 2
Provide their Name, Position or Job Title, Work Relationship, Telephone Number, E-mail address
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of University of Notre Dame. Report Abuse - Terms of Service